Strategic Conversation Request Form

Walker Media LLC

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This form gathers essential information to evaluate your organization’s readiness, goals, and alignment for a strategic partnership with Walker Media LLC.

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Question 2 of 23

Legal Organization Name

Paragraph answer

Question 3 of 23

Organization Website
(insert URL)

Paragraph answer

Question 4 of 23

Organization Type

A

Enterprise / For-Profit Company

B

Platform or Media Company

C

Infrastructure or Energy Venture

D

Nonprofit Organization

E

Foundation

F

Educational Institution / University

G

Public Sector / Municipality

H

Coalition / Consortium

I

Other

Question 5 of 23

Your Role / Title

Paragraph answer

Question 6 of 23

Are you the Primary Decision-Maker for This Initiative?

(Yes / No)
If no, please describe your role in the decision process.

Paragraph answer

Question 7 of 23

Approximate Annual Budget or Revenue

(Select all that apply)

A

Under $1M

B

$1M–$5M

C

$5M–$10M

D

$10M–$25M

E

$25M–$50M

F

$50M+

Question 8 of 23

Size of the Initiative or Growth Objective You Are Pursuing

A

Under $1M

B

$1M–$5M

C

$5M–$10M

D

$10M–$25M

E

$25M+

Question 9 of 23

Timeline for This Initiative

A

Immediate (0–3 months)

B

Short-term (3–6 months)

C

Mid-term (6–12 months)

D

Long-term (12+ months)

Question 10 of 23

Which Capital Pathways Are You Exploring?

(Select all that apply)

A

Investor Capital (VC, PE, Strategic, Institutional)

B

Public Funding (Government Programs / Grants)

C

Philanthropy / Foundations

D

Sponsorships & Strategic Partnerships

E

Licensing / Certification Revenue

F

Platform or Media Monetization

G

Public-Private Partnerships

H

Not yet defined / Need strategic alignment

Question 11 of 23

Have You Raised or Secured Capital Before?
(Yes / No)
If yes, briefly describe the type(s) and scale.

Paragraph answer

Question 12 of 23

What Are You Ultimately Trying to Achieve?

(Select all that apply)

A

Secure capital for growth or expansion

B

Build or strengthen valuation

C

Scale programs or initiatives

D

Launch or monetize platforms

E

Increase institutional credibility

F

Attract strategic partners

G

Prepare for large-scale funding or investment

H

Other

Question 13 of 23

What Is the Primary Constraint Holding You Back Today?

(Select all that apply)

A

Lack of aligned capital strategy

B

Fragmented messaging or narrative

C

Limited credibility with decision-makers

D

Weak platform or distribution leverage

E

Monetization not clearly defined

F

Execution capacity

G

Governance or readiness gaps

H

Unclear next steps

Question 14 of 23

How Are You Currently Approaching Growth or Capital?

Paragraph answer

Question 15 of 23

What Type of Partner Are You Seeking?

(Select all that apply)

A

Strategic growth partner

B

Capital architecture & alignment partner

C

Communications & credibility partner

D

Platform & monetization partner

E

Long-term execution partner

F

Advisory only

Question 16 of 23

Are You Open to a Long-Term Strategic Partnership (6–12 months+)?

A

Yes

B

No

C

Not Sure

Question 17 of 23

Have You Allocated Budget for Strategic Partnership Support?

A

Yes — approved budget

B

Budget identified, pending approval

C

Budget under consideration

D

No budget allocated yet

Question 18 of 23

If Appropriate, What Range Are You Prepared to Invest in Strategic Partnership Support?

A

Under $50K

B

$50K–$100K

C

$100K–$250K

D

$250K–$500K

E

$500K+

Question 19 of 23

Why Do You Believe Walker Media May Be the Right Partner for This Initiative?

Paragraph answer

Question 20 of 23

Full Name

Paragraph answer

Question 21 of 23

Email Address

Paragraph answer

Question 22 of 23

Phone (Optional)

Paragraph answer

Question 23 of 23

Best Way to Reach You
(Email / Phone)

Paragraph answer

Confirm and Submit

Name

Email

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Strategic Conversation Request Form

Click the button below to start.

This form gathers essential information to evaluate your organization’s readiness, goals, and alignment for a strategic partnership with Walker Media LLC.

Legal Organization Name

Organization Website(insert URL)

Organization Type

Your Role / Title

Are you the Primary Decision-Maker for This Initiative? (Yes / No)If no, please describe your role in the decision process.

Approximate Annual Budget or Revenue

Size of the Initiative or Growth Objective You Are Pursuing

Timeline for This Initiative

Which Capital Pathways Are You Exploring?

Have You Raised or Secured Capital Before?(Yes / No)If yes, briefly describe the type(s) and scale.

What Are You Ultimately Trying to Achieve?

What Is the Primary Constraint Holding You Back Today?

How Are You Currently Approaching Growth or Capital?

What Type of Partner Are You Seeking?

Are You Open to a Long-Term Strategic Partnership (6–12 months+)?

Have You Allocated Budget for Strategic Partnership Support?

If Appropriate, What Range Are You Prepared to Invest in Strategic Partnership Support?

Why Do You Believe Walker Media May Be the Right Partner for This Initiative?

Full Name

Email Address

Phone (Optional)

Best Way to Reach You(Email / Phone)

Confirm and Submit

Organization Website
(insert URL)

Are you the Primary Decision-Maker for This Initiative?

(Yes / No)
If no, please describe your role in the decision process.

Have You Raised or Secured Capital Before?
(Yes / No)
If yes, briefly describe the type(s) and scale.

Best Way to Reach You
(Email / Phone)